SOUTHWEST LAS VEGAS CBOC PHARM (4192)    INSTITUTION (4)

Name Value
NAME SOUTHWEST LAS VEGAS CBOC PHARM
STATE NEVADA
STREET ADDR. 1 7235 S. BUFFALO DRIVE
CITY LAS VEGAS
ZIP 89113-4040
OFFICIAL VA NAME SOUTHWEST LAS VEGAS CBOC PHARM
STATUS National
ASSOCIATIONS
EFFECTIVE DATE/TIME
  • 2011-11-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1932483021
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA